Individual
BRIAN JAMES BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13264659
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
05/08/2023
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